Doctor of Philosophy / Department of Human Nutrition / Sara Rosenkranz / The aims of this dissertation were to provide innovative, applicable insights regarding the impact of single-meal consumption on metabolic and inflammatory responses in the acute post-meal (“postprandial”) period. In Chapter 2, the connection between large postprandial glucose and triglyceride (TG) fluxes and cardiovascular disease (CVD) risk were reviewed. A new marker of metabolic status, Metabolic Load Index (MLI), calculated by adding glucose and TG, was proposed based on several considerations: 1) independent associations between postprandial glucose and TG with CVD risk, although the substrates are considered to increase risk through similar mechanisms; 2) postprandial glucose and TG responses are interrelated; and 3) meals consumed in daily life typically contain both carbohydrate and fat. MLI may be useful in characterizing metabolic status/risk in both clinical and research settings. Chapter 3 was a systematic review with the purpose of objectively describing postprandial responses (i.e. magnitude and timing) to a high-fat meal (HFM) in five commonly assessed inflammatory markers: interleukin (IL)-6, C-reactive protein (CRP), tumor necrosis factor (TNF)-α, IL-1β, and IL-8. IL-6 increased in >70% of studies, starting at ~1.4 pg/mL pre-meal and peaking at ~2.9 pg/mL ~6 hours post-HFM. Other markers (CRP, TNF-α, IL-1β, and IL-8) did not change after the HFM in the majority of studies. These findings suggest that IL-6 is an inflammatory marker that routinely increases following HFM consumption. Future postprandial studies should further investigate IL-6, as well as explore novel markers of inflammation. In Chapter 4, we compared the metabolic and inflammatory responses to a HFM (17 kcal/kg, 60% fat), representative of meals used in previous postprandial studies, to two meal trials that were more reflective of typical eating patterns: a moderate-fat meal (MFM; 8.5 kcal/kg, 30% fat), and a biphasic meal (BPM), in which the MFM was consumed twice, three hours apart. The HFM elicited a greater total area-under-the-curve (tAUC) TG response (1348.8 ± 783.7 mg/dL x 6 hrs) compared to the MFM (765.8 ± 486.8 mg/dL x 6 hrs; p = 0.0005) and the BPM (951.8 ± 787.7 mg/dL x 6 hrs; p = 0.03), but the MFM and BPM were not different (p = 0.72). It appears that the large postprandial TG response observed in previous studies may not be representative of the daily metabolic challenge for many individuals. Chapter 5 assessed the impact of both aging and chronic physical activity level on postprandial metabolic responses by comparing three groups: younger active (YA), older active (OA), and older inactive (OI) adults. The TG tAUC response was lower in YA (407.9 ± 115.1 mg/dL x 6 hr) compared to OA (625.6 ± 169.0 mg/dL x 6 hr; p = 0.02) and OI (961.2 ± 363.6 mg/dL x 6 hr; p = 0.0002), while the OA group TG tAUC was lower than OI (p = 0.02). Thus, it is likely that both aging and chronic physical activity level impact the postprandial metabolic response. This series of projects provides needed clarification regarding the postprandial metabolic and inflammatory responses to single-meal intake, particularly in the context of real-life application.

Postprandial hypertriglyceridemia (PPHT), an independent risk factor for atherosclerosis (Smyth and Heron 2006; Nordestgaard, Benn et al. 2007), is strongly associated with metabolic syndrome and cardiovascular diseases (CVD) (Kolovou, Anagnostopoulou et al. 2005). It has been proposed that elevated triglycerides after a high-fat meal may be a postprandial phenomenon (Zilversmit 1979). PPHT are commonly concurrent with sedentary behaviors, such as extended sitting, which amplify PPHT (Levine, Vander Weg et al. 2006). The purpose of this study was to examine the effects of prolonged sitting with or without a balanced caloric diet and walking with a balanced diet on postprandial triglycerides (PPTG). Seven healthy, young men (age, 25.6 ± 3.7 y; height, 174 ± 5 cm; weight, 71.4 ± 6.2kg; VO2max, 49.3 ± 7.7 ml/kg/min) were recruited from a college and from within the Austin community. After 2 days of food and activity control (D1and D2), subjects performed one of three trials in a randomized, cross-over design for 2 days (D3 and D4); (1) active walking with a balanced diet (WB), (2) prolonged sitting with a hyper-caloric diet (SH), and (3) prolonged sitting with a balanced diet (SB). High fat tolerance tests (HFTT) were conducted on the following day, (D5), after 13 hour over-night fasting. Blood samples were obtained in the fasting state and every hour for 6 hours after subjects had eaten a high fat test meal consisting of 1.2 g fat, 1.1 g CHO, 0.2 g protein/kg body mass. All food was provided during the 5-day duration of the study. Body postures, heart rate, and daily steps were monitored. In both sit trials (SH and SB), subjects sat ~320 minutes longer and took 10 times fewer steps than WB. In WB, the total area under the curves for plasma triglycerides (AUC[subscript T] TG) was lower, compared to SH by 21.3% (p<0.001) and to SB by 19.7% (N.S.; p = 0.055), respectively. In WB, the incremental AUC TG (AUC[subscript I] TG), an index of postprandial response, was lower than both SH by 17.4% (p <0.005) and SB by 20.1% (p <0.05), respectively. Postprandial plasma insulin concentration was lower in WB, compared to SH by 19.4% (p <0.005) in AUC[scubscript T] and 18.8 % (p < 0.05) in AUC[subscript I]. No differences were shown in the metabolic responses between SB and SH despite the diet modifications. These findings indicate that two days of prolonged sitting significantly amplifies PPTG and suppresses insulin action. / text

Obesity is the most prevalent nutritional disorder encountered in small animal medicine. Problems related with obesity are the higher incidence of morbidity and mortality. Nutritional and physical activity interventions have been common strategies employed; however, they have shown low compliance rates. Because of it more attention has been given to the nutrient composition of diets. Using the canine model, three experiments were conducted to examine the effect of fish oil or barley on protein and lipid metabolism, as well as postprandial glycemia, and nutrient digestibility in mature and in young adult dogs. In Exp. 1, seven female dogs were randomly assigned to one of two isonitrogenous and isocaloric diets, control (CO) or fish oil (FO), in a crossover design. Animals fed the FO diet tended to be more sensitive to glucose, showing a lower glucose half life. Cholesterol and HDL decreased (p<0.05) on the FO treatment. Overall, the supplementation of fish oil may improve glucose clearance rate and is effective in decreasing cholesterol in mature overweight dogs. In Exp. 2, eight female Beagles were randomly assigned to one of two isonitrogenous and isocaloric diets, control (CO) or fish oil (FO), in a crossover design. Overall, feeding a FO containing diet showed a protective effect against the rise of plasma CHOL and it increased plasma ghrelin levels. However, it did not appear to improve protein metabolism or postprandial glycemia in adult lean dogs. In Exp. 3, sixteen female dogs were randomly assigned to four experimental diets; control (40% corn) or three levels of barley (10, 20, 40%). The data suggest that inclusion of barley up to 40% in diets for adult dogs is well tolerated and does not negatively impact nutrient digestibility of the diets. However, inclusion of barley did not improve aspects related to fecal odor, postprandial glycemia, or plasma cholesterol. Overall, the research presented herein suggests that different nutritional strategies - dietary lipid or carbohydrate manipulation - may be beneficial in ameliorating health issues (e.g., hyperlipidemia) or in improving the health status of dogs (e.g., gut health by increased SCFA production).

Master of Science / Department of Kinesiology / Craig A. Harms / Obesity and asthma often coexist in the same people. Both are characterized by the presence of low-grade systemic inflammation. A high-fat diet may contribute to concurrent development of both conditions by promoting a pro-inflammatory postprandial environment leading to a transient accumulation of blood lipids (postprandial lipemia; PPL) and acute airway inflammation. Previous results from our lab have shown an ~20% increase in airway inflammation two hours after consuming a high-fat meal (HFM) that was significantly associated with increased plasma triglycerides. While acute exercise has been shown to attenuate PPL, it is unknown whether these protective effects will translate to reduced airway inflammation after a high-fat meal. PURPOSE: To determine the effects of an acute bout of exercise on airway inflammation after a HFM. We tested the hypothesis that an acute bout of exercise 12 hours before a high-fat meal would protect against subsequent airway inflammation in healthy men and would be related to the decreased PPL and systemic inflammatory markers. METHODS: In a randomized cross-over study, 12 healthy college-aged men consumed a HFM (1g fat/1kg body weight) 12 hours following exercise (EX; 60 min at 60% VO2max) or without exercise (CON). Exhaled nitric oxide (eNO; measure of airway inflammation), blood lipid profiles (venous sample; total cholesterol, HDL, LDL, triglycerides, glucose), inflammatory markers (hsCRP, TNF-[alpha], IL-6) and pulmonary function tests (PFT) (forced expiratory volume in 1-s,forced vital capacity, forced expiratory flow at 25-75% of vital capacity) were measured pre-HFM, two hours, and four hours post-HFM. RESULTS: Baseline eNO was not different (p>0.05) between trials. eNO increased (p<0.05) post HFM at two hours in the both CON and EX conditions. eNO between trials was not different (p>0.05). Triglycerides were significantly increased two and four hours post HFM but were not different (p>0.05) between conditions. There was no relationship (p>0.05) between eNO and triglycerides or systemic inflammatory markers for any time point in either condition. Pulmonary function did not differ (p>0.05) between any condition. CONCLUSION: These results demonstrate that an acute bout of moderate intensity exercise 12 hours before a HFM does not attenuate postprandial airway inflammation or lipemia in healthy college-aged men.

An increasing amount of people have their work hours displaced to the night and there are indications that shift work and other irregular working schedules are associated with an increased risk of developing the metabolic syndrome and other pathological conditions. It is therefore important to address the consequences of eating at irregular hours, especially nighttime. Papers I-III refer to a study in which 7 males were given a high-carbohydrate diet (HC) or a high-fat diet (HF), using a cross-over design. Subjects were kept awake for 24 h and food was provided as 6 equally spaced isocaloric meals. Higher energy expenditure and non-esterified fatty acids (NEFA) concentration, as well as lower glucose and triacylglycerol (TAG) concentrations were observed with the HF-diet, compared to the HC-diet. With the HF-diet, fat oxidation, heat release, heart rate, glucose, NEFA and TAG concentrations differed depending on time of day. The highest postprandial TAG concentrations were seen after the 04.00 meal with both diets. Insulin and leptin responses to meal intake differed with respect to diet and time of day. Time of day affected glucagon, thyroid stimulating hormone, free thyroxin, total triiodothyronine (tT3), cortisol, chromogranin A and pancreatic polypeptide (PP) concentrations. PP’s postprandial increase was greater during 08.00 – 16.00 compared to 20.00 – 08.00. Furthermore, the subjects felt less irritated when eating the HF-diet but hunger was not related to macronutrient composition. Hunger and thirst decreased throughout the 24 h period despite constant activity and energy intake; and were correlated with several endocrine and metabolic variables. In paper IV 7 males were studied twice during 24-h either given 6 isocaloric meals throughout the 24-h period, or 4 isocaloric meals from 08.00 to 20.00, followed by a nocturnal fast. Energy expenditure, glucose, TAG, insulin and glucagon concentrations were lower; and NEFA concentrations were higher during the nocturnal fast compared to nocturnal eating; although no 24 h differences between the protocols were apparent. The subjects were more passive during the fasting period compared to when food was given. Stepwise regression showed that correlations between metabolic variables and hormones differed between daytime and nighttime. The decreased evening/nocturnal responses of cortisol and PP to meal intake suggest that nocturnal eating might have health implications and that the body reacts unfavorably to nocturnal eating. Smaller meals around the clock, however, showed marginally better effects on postprandial TAG concentrations and mental energy compared to larger meals during daytime. Further studies (long term) are needed before dietary guidelines can be given to shift workers, especially regarding the impact of nocturnal eating on gastrointestinal response and cortisol.

名古屋大学博士学位論文 学位の種類 : 博士(医学)(論文) 学位授与年月日:平成5年1月28日 平山正昭氏の博士論文として提出された

These studies investigated the effect of physical inactivity (prolonged sitting) and physical activity (walking, standing, and moderate intensity exercise) on postprandial plasma triglyceride concentration (PPTG). In the first study, we evaluated the effect of low intensity intermittent walking at ~25% VO₂max (WALK) and energy-matched moderate intensity running at ~65% VO₂max (RUN) on PPTG, compared to a sitting control (SIT). RUN reduced incremental area under the curves for plasma triglyceride concentration (TG AUC[subscript I]), compared to WALK by 17.3% (p = 0.04) and SIT by 27% (p [less than] 0.001). The reduced TG AUC[subscript I] in RUN was accompanied by enhanced whole body insulin sensitivity, compared to WALK and SIT (for both, p [less than] 0.05). Whole body postprandial fat oxidation at rest following a high fat test meal intake was enhanced in RUN by 31% (P [less than] 0.001) and to a lesser extent in WALK by 8.4% (p [less than] 0.005), compared to SIT. In the second study, we evaluated 1) the effect of 2 days of prolonged sitting on PPTG, and 2) the effect of 4 days of SIT on the ability of an acute bout of exercise to reduce PPTG, compared to the same days of active walking and standing with calorically balanced diet (WALK+B). To distinguish the effect of prolonged sitting from the excess calorie effect, we had a sitting condition with calorically balanced diet (SIT+B) in addition to a sitting condition with hypercaloric diet (SIT+H). Following 2 days of respective food and activity control, WALK+B was lower in TG AUC[subscript T] by 21.3% and AUC[subscript I] by 17.4%, compared to SIT+H (for both, p [less than] 0.005). WALK+B was lower than SIT+B for TG AUC[subscript T] by 17.7% (p = 0.165) and AUC[subscript I] by 23.5% (p = 0.145) although statistical significance was not achieved. Remarkably, an acute exercise following 4 days of either SIT+H or SIT+B failed to reduce both TG AUC[subscript T] and AUC[subscript I], compared to SIT+B in HFTT1. The same exercise following 4 days of WALK+B, however, reduced both TG AUC[subscript T] by 29% and TG AUC[subscript I] by 32% in HFTT2, compared to SIT+B in HFTT1 (for both, p [less than] 0.02). Further, both SIT conditions reduced relative whole body fat oxidation in favor of increases in carbohydrate oxidation, compared to WALK+B by more than 40% in both HFTT1 and HFTT2. Taken together, our data suggest that 1) exercise intensity plays an independent role with higher intensity being more effective than lower intensity exercise in reducing PPTG, and 2) prolonged sitting with excess energy intake amplifies PPTG and prolonged sitting impairs the ability of an acute bout of moderate intensity exercise to reduce PPTG. This emphasizes the importance of regular participation in moderate-to-vigorous intensity exercise and reducing sitting time by increasing non-exercise physical activities (i.e., walking and standing) for the favorable postprandial metabolic health from the individual and public health perspectives. / text

A lipemia pós-prandial (LPP) se caracteriza pelo aumento das concentrações de lipídeos sanguíneos, provocado por meio de refeição ou jejum e está diretamente relacionada com o sedentarismo e a formação da placa aterosclerótica. A adolescência é um período crítico no controle do peso e a inatividade física está associada com desenvolvimento de doenças cardiovasculares (DCV) prematuras. O exercício atua como um importante agente protetor contra o desenvolvimento e progressão de diversas doenças crônicas. Apesar dos efeitos do exercício sobre a LPP serem relativamente bem descritos, os seus efeitos sobre crianças e adolescentes têm sido negligenciados. Além disso, um dos aspectos intervenientes sobre a LPP é a intensidade de exercício. Dessa forma, o objetivo do estudo foi verificar os efeitos do exercício de intensidade média e alta na lipemia e glicemia pós-prandiais em adolescentes eutróficos saudáveis após refeição hiperlipídica. Treze adolescentes do sexo masculino, com idade entre 12 e 16 anos, foram selecionados e realizaram três protocolos: exercício de média intensidade (MI), exercício de alta intensidade (AI) e repouso (REP). No MI, os participantes pedalaram durante 45 minutos a 10% abaixo do 2° limiar ventilatório, seguidos de 180 minutos de repouso. No AI, os participantes pedalaram a 10% acima do 2° limiar ventilatório até alcançarem o mesmo gasto energético do MI. No REP, os participantes permaneceram em repouso durante todo o período. Foi fornecida uma refeição rica em gordura após cada protocolo. Amostras de sangue foram coletadas nos tempos 0 (jejum), 45min (logo após exercício), 105min (1h após a refeição), 135min, 165min, 195min e 225min em cada protocolo. Os níveis de triglicerídeos (TG), colesterol total (CT), HDL, LDL e glicose foram mensurados. Não houve diferenças entre as condições em relação aos níveis de CT, HDL, LDL e glicose. Foi encontrada uma redução significativa (p<0,05) nos níveis de TG (mg/dl) na condição MI quando comparado ao REP e AI no minuto 105 (70,1 + 10,3 vs. 92,2 + 32,4 e 82,2 +10,4) e 135 (68,4 + 14,4 vs. 97,3 + 15,6 e 91,54 + 24,9), respectivamente, e no minuto 165 entre REP e MI (103,14 + 24,2 vs. 82,4 + 18,8). A área sob a curva de TG (mg/dl/min) no MI foi 17,19% significativamente inferior quando comparado ao REP (16.437 vs 19.848) e 12,82% inferior quando comparado ao AI (16.437 vs 18.856). Em conclusão, o exercício de MI mostrou-se eficaz na redução dos triglicerídeos pós-prandiais em adolescentes saudáveis, quando comparado ao repouso e ao exercício de AI. / Postprandial lipemia (PPL) is characterized by increased concentrations of blood lipids, caused by meal or fasting and is directly related to a sedentary lifestyle and the formation of atherosclerotic plaque. Adolescence is a critical period in weight and physical inactivity is associated with premature cardiovascular disease (CVD) development. Exercise acts as an important protective mediator against the development and progression of several chronic diseases. Despite the effects of exercise on LPP are relatively well described, its effects on children and adolescents have been neglected. Moreover, one of the factors on aspects LPP is the intensity of exercise. Thus, the aim of this study was to investigate the effects of exercise of medium and high intensity on postprandial lipemia and glycemia in healthy normal adolescents after a high fat meal. Thirteen male adolescents, aged between 12 and 16 years, were selected and performed three protocols: exercise of moderate intensity (MI), high-intensity exercise (HI) and rest (RES). In MI, participants cycled for 45 minutes at 10% below 2nd ventilatory threshold, followed by 180 minutes of rest. In HI, participants cycled at 10% above the 2nd ventilatory threshold in order to achieve the same energy expenditure MI. RES, the participants remain at rest during the entire period. A high fat meal was provided after each protocol. Blood samples were collected at 0 (fasting), 45min (after exercise), 105min (1h after the meal), 135min, 165min, 195min and 225min in each protocol. Triglycerides (TG), total cholesterol (TC), HDL, LDL and glucose were measured. There were no differences between conditions in relation to the levels of TC, HDL, LDL and glucose. A significant reduction (p <0.05) was found in the levels of TG (mg / dL) in the condition MI when compared to the REP and HI at 105 minutes (70.1 ± 10.3 vs. 92.2 + 32.4 and 82.2 +10.4) and 135 (14.4 vs. 68.4 +. 97.3 + 15.6 + 24.9 and 91.54), respectively, and at 165 minutes between REP and MI (24.2 vs 103.14 +. 82.4 + 18.8). The area under the curve of TG (mg / dl / min) in MI was 17.19% significantly lower when compared to REP (16,437 vs 19,848) and 12.82% lower when compared to HI (16,437 vs 18,856). In conclusion, the MI exercise was effective in reducing the postprandial triglyceride levels in healthy adolescents, when compared at rest and during HI exercise.

Introdução: O extrato seco de Solanum melongena (berinjela) vem sendo utilizado pela população como um tratamento alternativo para dislipidemia. Ela é um vegetal rico em flavonóides que são antioxidantes polifenólicos encontrados nos alimentos. Estudos demonstram relação inversa entre o consumo de alimentos ricos em flavonóides e a mortalidade por doença arterial coronariana. O objetivo deste estudo foi avaliar o efeito da administração de cápsulas de extrato de berinjela no perfil lipídico de indivíduos saudáveis após um teste de sobrecarga lipídica via oral . Métodos: Após consentimento informado 58 voluntários saudáveis foram randomizados para receber cápsulas contendo 450 mg extrato seco de berinjela ou placebo. As cápsulas de berinjela ou placebo foram administradas na quantidade de duas cápsulas duas vezes ao dia durante 14 dias. No 14º dia os voluntários foram submetidos a um teste de sobrecarga lipídica, logo após a ingestão de 900 mg de extrato de berinjela ou placebo conforme randomização anterior. A análise nutricional da refeição continha 361 kcal, 22,5 g de gorduras totais, sendo destas 14,5g de gordura saturada e 251mg de colesterol. O perfil lipidico foi aferido em jejum nos dias 0 e 14 e neste último dia aferido em jejum e 2 horas após a sobrecarga lipidica. Resultados: Os níveis de trigliderídeos, expressos em mediana (amplitude interquartílica), encontrados nos voluntários do grupo berinjela foram 69mg/dl (51 - 102), 69 mg/dl (56 - 94) e 92 (64 - 120), antes do tratamento, no 14º dia pré e pós prandial, respectivamente. No grupo placebo os resultados foram 92mg/dl (77 - 128), 79 (60 - 108) e 98 (73 - 142), respectivamente. Não houve interação estatisticamente significativa entre tempo e grupo quanto ao nível de triglicerídeos (P=0,208). Também não foram encontradas diferenças nos valores de colesterol total (P=0,973), HDL colesterol (P=0,059) e LDL colesterol (P=0,611). Conclusão: Nossos resultados demonstram que a utilização de cápsulas de extrato seco de S. Melongena por 14 dias não produziu nenhum efeito no perfil lipidico em jejum e pós-prandial em indivíduos normais. / Introduction: Dry Solanum melongena (eggplant) extract is being used by the population as an alternative treatment for dyslipidemia. It is a vegetable rich in flavonoids, which are polyphenol anti-oxidants found in foods. Studies reveal an inverse relationship between the consumption of foods rich in flavonoids and mortality from coronary artery disease. The objective of this study was to assess the effect of administering eggplant extract capsules on the lipid profile of healthy individuals after an oral lipid overload test. Methods: After informed consent, 59 healthy volunteers were randomized to take capsules containing 450 mg of dry eggplant extract or placebo. The eggplant or placebo capsules were administered in quantities of two capsules, twice a day, for 14 days. On the 14th day, the volunteers were submitted to a lipid overload test immediately after ingesting 900 mg of eggplant extract or placebo as per prior randomization. The nutritional analysis of the meal contained 361 kcal, 22.5 g of total fat, 14.5 g of which was saturated and 251mg of cholesterol. The lipid profile was checked during fasting on days 0 and 14 and on this last day it was checked during fasting and after a lipid overload. Results: Triglyceride levels, expressed as median (interquartile range), found in eggplant group volunteers were 69mg/dl (51 -102), 69 mg/dl (56 - 94) and 92 (64 - 120), before treatment, on the 14th day pre- and postprandial, respectively. In the placebo group, the results were 92mg/dl (77 - 128), 79 (60 - 108) and 98 (73 - 142), respectively. There was no statistically significant interaction between the time and the group as to triglyceride levels (P=0.208). No difference was found in total cholesterol (P=0.973), HDL cholesterol (P=0.059) and LDL cholesterol (P=0.611) levels either. Conclusion: Our results reveal that the use of dry S. Melongena extract capsules for 14 days did not produce any effect on the lipid profile during fasting and postprandial in normal individuals.

A lipemia pós-prandial (LPP) se caracteriza pelo aumento das concentrações de lipídeos sanguíneos, provocado por meio de refeição ou jejum e está diretamente relacionada com o sedentarismo e a formação da placa aterosclerótica. A adolescência é um período crítico no controle do peso e a inatividade física está associada com desenvolvimento de doenças cardiovasculares (DCV) prematuras. O exercício atua como um importante agente protetor contra o desenvolvimento e progressão de diversas doenças crônicas. Apesar dos efeitos do exercício sobre a LPP serem relativamente bem descritos, os seus efeitos sobre crianças e adolescentes têm sido negligenciados. Além disso, um dos aspectos intervenientes sobre a LPP é a intensidade de exercício. Dessa forma, o objetivo do estudo foi verificar os efeitos do exercício de intensidade média e alta na lipemia e glicemia pós-prandiais em adolescentes eutróficos saudáveis após refeição hiperlipídica. Treze adolescentes do sexo masculino, com idade entre 12 e 16 anos, foram selecionados e realizaram três protocolos: exercício de média intensidade (MI), exercício de alta intensidade (AI) e repouso (REP). No MI, os participantes pedalaram durante 45 minutos a 10% abaixo do 2° limiar ventilatório, seguidos de 180 minutos de repouso. No AI, os participantes pedalaram a 10% acima do 2° limiar ventilatório até alcançarem o mesmo gasto energético do MI. No REP, os participantes permaneceram em repouso durante todo o período. Foi fornecida uma refeição rica em gordura após cada protocolo. Amostras de sangue foram coletadas nos tempos 0 (jejum), 45min (logo após exercício), 105min (1h após a refeição), 135min, 165min, 195min e 225min em cada protocolo. Os níveis de triglicerídeos (TG), colesterol total (CT), HDL, LDL e glicose foram mensurados. Não houve diferenças entre as condições em relação aos níveis de CT, HDL, LDL e glicose. Foi encontrada uma redução significativa (p<0,05) nos níveis de TG (mg/dl) na condição MI quando comparado ao REP e AI no minuto 105 (70,1 + 10,3 vs. 92,2 + 32,4 e 82,2 +10,4) e 135 (68,4 + 14,4 vs. 97,3 + 15,6 e 91,54 + 24,9), respectivamente, e no minuto 165 entre REP e MI (103,14 + 24,2 vs. 82,4 + 18,8). A área sob a curva de TG (mg/dl/min) no MI foi 17,19% significativamente inferior quando comparado ao REP (16.437 vs 19.848) e 12,82% inferior quando comparado ao AI (16.437 vs 18.856). Em conclusão, o exercício de MI mostrou-se eficaz na redução dos triglicerídeos pós-prandiais em adolescentes saudáveis, quando comparado ao repouso e ao exercício de AI. / Postprandial lipemia (PPL) is characterized by increased concentrations of blood lipids, caused by meal or fasting and is directly related to a sedentary lifestyle and the formation of atherosclerotic plaque. Adolescence is a critical period in weight and physical inactivity is associated with premature cardiovascular disease (CVD) development. Exercise acts as an important protective mediator against the development and progression of several chronic diseases. Despite the effects of exercise on LPP are relatively well described, its effects on children and adolescents have been neglected. Moreover, one of the factors on aspects LPP is the intensity of exercise. Thus, the aim of this study was to investigate the effects of exercise of medium and high intensity on postprandial lipemia and glycemia in healthy normal adolescents after a high fat meal. Thirteen male adolescents, aged between 12 and 16 years, were selected and performed three protocols: exercise of moderate intensity (MI), high-intensity exercise (HI) and rest (RES). In MI, participants cycled for 45 minutes at 10% below 2nd ventilatory threshold, followed by 180 minutes of rest. In HI, participants cycled at 10% above the 2nd ventilatory threshold in order to achieve the same energy expenditure MI. RES, the participants remain at rest during the entire period. A high fat meal was provided after each protocol. Blood samples were collected at 0 (fasting), 45min (after exercise), 105min (1h after the meal), 135min, 165min, 195min and 225min in each protocol. Triglycerides (TG), total cholesterol (TC), HDL, LDL and glucose were measured. There were no differences between conditions in relation to the levels of TC, HDL, LDL and glucose. A significant reduction (p <0.05) was found in the levels of TG (mg / dL) in the condition MI when compared to the REP and HI at 105 minutes (70.1 ± 10.3 vs. 92.2 + 32.4 and 82.2 +10.4) and 135 (14.4 vs. 68.4 +. 97.3 + 15.6 + 24.9 and 91.54), respectively, and at 165 minutes between REP and MI (24.2 vs 103.14 +. 82.4 + 18.8). The area under the curve of TG (mg / dl / min) in MI was 17.19% significantly lower when compared to REP (16,437 vs 19,848) and 12.82% lower when compared to HI (16,437 vs 18,856). In conclusion, the MI exercise was effective in reducing the postprandial triglyceride levels in healthy adolescents, when compared at rest and during HI exercise.